Graduated: 1998
NPI: 1235131681
Practice Locations (3)
ORTHOPAEDICS NORTHEAST PC
11136 PARKVIEW CIRCLE DR
FORT WAYNE, IN 468451730
2604848551
ORTHOPAEDICS NORTHEAST PC
5050 N CLINTON ST
FORT WAYNE, IN 468255886
2604848551
ORTHOPAEDICS NORTHEAST PC
5052 N CLINTON ST
FORT WAYNE, IN 468255822
Source: CMS National Downloadable File, September 2026.